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Prevalence of abdominal aortic aneurysms--a screening program in São Paulo, Brazil.

CONTEXT: Abdominal aortic aneurysm is an asymptomatic but potentially fatal condition. Elective surgery can prevent death from rupture, and is indicated for aneurysms larger than 45 mm. Because aneurysms tend to grow with time, detection of small ones (> 29 mm) may lead to a closer follow-up of patients at risk. OBJECTIVE: To determine the prevalence of abdominal aortic aneurysms in São Paulo, Brazil. DESIGN: Prospective, descriptive. SETTING: University Hospital. PARTICIPANTS: Persons aged 50 years or more were offered, through the press, the opportunity to be screened for abdominal aortic aneurysm. The total number screened was 2,756. PROCEDURE: All were submitted to abdominal palpation and ultrasound examination. PARAMETER STUDIED: A maximum diameter of 30 mm or more was considered to be an aneurysm. RESULTS: Sixty-four aneurysms were detected, nine of which measuring more than 49 mm. Palpation detected 60 aneurysms, but only 20 of these were confirmed by the ultrasound. Conversely, 41 of the ultrasound-detected aneurysms were not palpable. The percentages of abdominal aortic aneurysms found in the subgroups via ultrasound examination (with 95% confidence interval) were as follows: total group, 2.3 (1.8-3); men, 4.6 (3.5-5.9); women, 0.6 (0.3-1.1); men aged 60 or more, 6 (4.3-8); women aged 60 or more, 0.9 (0.4-1.8). CONCLUSION: In Sao Paulo, Brazil, 1.8 to 3 % of persons aged 50 years or more are expected to have abdominal aortic aneurysms. In the subgroup of men aged 60 or more, the expected prevalence is between 4.3 and 8%.

Age Distribution↗

The burden of injury in Brazil, 2003.

CONTEXT AND OBJECTIVE: Since 1980, injuries have been the second biggest cause of death among the Brazilian population. This study aimed to analyze national data on fatal injuries and nonfatal injury hospitalization in Brazil, for 2003. DESIGN AND SETTING: This was a population-based descriptive study, Brazil, 2003. METHODS: Data from 126,520 fatal injuries and 733,712 nonfatal injuries seen at public hospitals were analyzed. The data were stratified by sex, age, intent and injury mechanism. Raw and age- and sex-specific rates were calculated per 100,000 individuals. RESULTS: The raw injury mortality rate was 71.5/100,000 (122.6/100,000 for male and 22.0/100,000 for female). For fatal injuries, the proportions of unintentional and intentional injuries were equal (44.3% and 46.9%, respectively). Homicides were the leading cause, 40.3% overall (28.8/100,000), followed by transport-related deaths, 26.2% overall (17.0/100,000). For nonfatal injuries, the rate was 414.8/100,000 and unintentional injuries were predominant (88.9%). Overall, the leading cause was unintentional falls, accounting for 42.6% of victims treated in public hospitals (176.8/100,000). Transport-related injuries were second: 15.0% overall; 62.0/100,000. Fractures comprised 46.7% of principal diagnoses at hospitals. The injury types in the fatal and nonfatal datasets varied according to sex and age. The highest rates were found among young males and elderly people. CONCLUSIONS: Injury prevention activities need to be developed. To prevent deaths, homicide has to be addressed. Among hospitalized cases, falls are the most important problem. Traffic-related injuries play an important role in morbidity and mortality.

Accidental Falls↗

[The practice of forensic psychiatry in England and Brazil: a brief comparison].

The authors make a comparative analysis between the practice of forensic psychiatry in England and in Brazil. The purpose is to stimulate the debate about the conduction of this psychiatric specialization in both countries. It is a study specifically addressed to the criminal area and its approach is carried out based on the legal, clinical, and ethical points of view. The observations made in England may be also applied to Wales, but not to the United Kingdom as a whole, since different legislation is adopted in Scotland and Northern Ireland. It concludes that while in Brazil there is a need for a closer and more integrated relationship between Psychiatry and Law, it is equally significant to clearly define the scope and the boundaries of each of these areas, as ignoring the boundaries between the two specialties could result in the risk of their relationship becoming confused, as appears to be the case in the English context.

Brazil↗

[Epidemiology of alcohol use in Brazil].

The authors describe the most recent and significant epidemiological studies on alcohol conducted in Brazil in the last years. The aim was to outline the pattern of alcohol consumption in the country through the analysis of population surveys (household surveys, drug abuse among students, homeless children) and statistical indicators (hospital admissions for addictions, data from the Institute of Forensic Medicine, related traffic accidents and information on sales of alcoholic beverages). The analysis of the data presented in this article suggests two basic points: greater emphasis should be laid on epidemiological studies in Brazil, through increasing the scope of research, as well as its systematic updating. Alcohol certainly has a strong influence in the etiology and maintenance of several social, economic and health problems faced in our country.

Adolescent↗

Epidemiology of suicide in Brazil (1980-2000): characterization of age and gender rates of suicide.

OBJECTIVE: To describe the suicide rates in Brazil in recent decades, drawing comparisons with the worldwide epidemiological situation. METHODS: Descriptive analyses of Brazilian suicide data, relating to the 1980-2000 period and extracted from the DATASUS database. Brazilian suicide trends were examined by age and gender. RESULTS: The overall rate of suicide in Brazil increased 21% in 20 years. Men were found to be 2.3 to 4.0 times more likely to commit suicide than were women, and the highest suicide rates were found in the over-65 age group. The greatest increase in suicide rates (1900%) was seen in the 15-24 age range. CONCLUSION: Brazilian suicide rates, although low, are consistent with the global trend toward growth. Although the highest rates are still seen among the elderly, members of the younger population have been killing themselves with ever-increasing frequency.

Adolescent↗

Evaluation of the fluoride stability of dentifrices sold in Manaus, AM, Brazil.

The minimum requirement for the anti-caries effect of a dentifrice is the presence of available and stable fluoride in the formulation. The concentration of available fluoride in the major dentifrices sold in Brazil has been reported, but few data have been published about its stability, which is temperature-dependent. Thus, the aim of this study was to evaluate the concentration and stability of fluoride in dentifrices sold in Manaus, AM, Brazil, which is a typical tropical city. The concentrations of total fluoride, total soluble fluoride, MFP, and of insoluble fluoride of six Brazilian dentifrices and an imported one were analyzed. The analyses were made when the dentifrices were purchased and during a year of storage at room temperature (28.9 1.16 C) and under refrigeration (26.3 0.88 C). The analyses were performed using an ion specific electrode Orion 96-09. At the time of purchase, all the dentifrices analyzed showed more than 1,000 ppm (mug F-/g; w/w) of soluble fluoride. However, in most of them, this form of fluoride was not shown to be stable. The highest loss of soluble fluoride was found for storage at room temperature, reaching up to 40%. Although all dentifrices comply with the Brazilian guidelines with regard to the concentration of total fluoride (maximum of 0.15%), the instability of soluble fluoride observed in some of them can impair their anti-caries effect and this condition is not contemplated in the Governmental rules.

Brazil↗

Cyanophyceae/Cyanobacteria in red mangrove forest at Mosquitos and Coqueiros estuaries, São Luís, state of Maranhão, Brazil.

This paper provides the results of a taxonomic survey of the Cyanophyceae/Cyanobacteria in a frenge red mangrove forest in the estuaries of Estreito dos Mosquitos and Coqueiros, São Luís, State of Maranhão, Brazil. A total of 15 taxa were identified in 8 families, as follows: Synechoccaceae (2), Chroococcaceae (1), Hyellaceae (1), Xenococcaceae (1), Oscillatoriaceae (1), Scytonemataceae (2), Phormidiaceae (5) and Pseudanabaenaceae (2). The species listed in this paper are all new descriptions for Maranhão, and one of them is a new occurrence for Brazil.

Brazil↗

Piscinoodinium pillulare (Schäperclaus, 1954) Lom, 1981 (Dinoflagellida) infection in cultivated freshwater fish from the northeast region of Sao Paulo State, Brazil. Parasitological and pathological aspects.

The Aquaculture Center of Unesp, Jaboticabal, SP, Brazil, received fishes for diagnosis from fish farmers reporting fish crowding at pond edges and in water inlets. Fifty-three out of 194 cases showed round to oval, immobile whitish structures, measuring up to 162 microm diameter, identified as the dinoflagellate Piscinoodinium pillulare. In 34 diagnosed cases the parasites were present in the gills, in 2 on body surface, and 9 in both. Thirty-one out of 53 were tambacu hybrids hosts; 7, Piaractus mesopotamicus; 6, Colossoma macropomum; 5, Leporinus macrocephalus; 3, Oreochromis niloticus; and 1, Prochilodus lineatus. Fish showed increased mucous production on body surface and gills, while ecchymosis in the caudal peduncle and operculum was present. The gills also showed paleness, congestion, and petechiae. Histopathology presented a great number of trophonts situated between secondary lamellae, fixed to or detached from the epithelium. Primary lamellae presented interstitial hemorrhages, severe hyperplasia of the epithelium, goblet cells, and mononuclear infiltrates. The present work is the first report of P pillulare in Brazil and emphasizes the importance of this dinoflagellate which caused significant economic losses from 1995 through 1997.

Animals↗

Some Digenea parasites of tunny from the coast of Rio de Janeiro State, Brazil.

Rhipidocotyle pentagonum (Ozaki, 1924) is reported for the first time in South America parasitizing Auxis thazard and in a new host Katsuwonus pelamis. Tergestia laticollis (Rudolphi, 1819) is reported for the first time in South America and in Thunnus albacares, representing a new host record. Copiatestes filiferus (Leuckart, in Sars, 1885) is recorded for the first time in Brazil and in Thunnus albacares, another new host record. Tetrochetus coryphaenae (Yamaguti, 1934) is presented for the first time in Brazil parasitizing Thunnus albacares.

Animals↗

Occurrence and biogeographic aspects of Melipona quinquefasciata in NE Brazil (Hymenoptera, Apidae).

The stingless bee Melipona quinquefasciata is not included among the nine bee species of Melipona described in literature of NE Brazil. However, reports of some farmers raised suspicion on the occurrence of M. quinquefasciata in the state of Ceará, in NE Brazil. Investigations were carried out from July 1997 to September 2000, by means of trips to the areas of probable occurrence of this bee species. Results confirmed the presence of M. quinquefasciata in Ceará and determined its habitat along the chapada do Araripe (Araripe plateau) and all extension of planalto da Ibiapaba (Ibiapaba plateau), in altitudes between 600 and 900 m. Melipona quinquefasciata lives in the phytocoenosis of cerrado (Brazilian savanna), cerradão (savanna forest) and carrasco (montane deciduous shrub vegetation) on the top of Araripe plateau, and only carrasco in the Ibiapaba plateau. Due to pressures caused by reduction of the area covered with native vegetation, large use of agrochemicals in anthropic areas and generalised predatory hunting of honey and beeswax, M. quinquefasciata is in risk of disappearing from the ecosystems of Araripe and Ibiapaba plateaus within a few years.

Animals↗

Gonad characterization and reproductive cycle of Collisella subrugosa (Orbigny, 1846) (Gastropoda: Acmaeidae) in the northeastern Brazil.

Gonad characteristics and reproductive cycle in the acmaeid Collisella subrugosa from Northeastern Brazil were investigated. The individuals were collected monthly from February 1993 to April 1994 at Farol do Mucuripe Beach, Fortaleza, Ceará, Brazil. There is no external characteristic on the shell and the soft body structures except the gonad that allows sex differentiation. The gonad of limpet Collisella subrugosa shown four stages (1) "partially ripe", (2) "ripe", (3) "partially spawned" and (4) "spawned", stages. The reproductive cycle is continuous, with the maturation and spawning running parallell in this population. The temperature was constant during the study period and it did not seem to be important to induce the spawning. The salinity had a weak negative correlation with the spawn process.

Animals↗

Cladocera fauna composition in a river-lagoon system of the Upper Paraná River floodplain, with a new record for Brazil.

Cladocera communities were studied in lotic and lentic environments of the Upper Paraná River floodplain, State of Mato Grosso do Sul, Brazil. A total of 63 species of Cladocera were identified in 108 samples. Of these, 24 species are considered new records for that floodplain, and one is a new record for Brazil. Chydoridae was the most representative family with 19 genera and 39 species.

Animals↗

Population biology and distribution of the tanaid Kalliapseudes schubarti Mañé-Garzon, 1949, in an intertidal flat in southeastern Brazil.

The population biology and the spatial and temporal distribution of Kalliapseudes schubarti Mañé-Garzon, 1949, a common tanaidacean in mud flats and estuaries in southern and southeastern Brazil, was studied in the Araçá region, São Sebastião (SP), Brazil. This species showed a clustered dispersion in the area and the individuals were concentrated in the superficial sediment layer (5 cm). Higher densities of K. schubarti were recorded in areas characterized by moderately sorted fine sediment. Multiple regression analysis revealed a positive influence of the organic matter contents and a negative effect of the silt-clay contents on the abundance of K. schubarti. This species showed a marked temporal variation with very low abundance in winter and fall (March to August). Sexual dimorphism was evidenced with males being larger than females. Ovigerous females were also larger than pre-ovigerous ones. Sex ratio was skewed towards females. Seven cohorts were identified during the sampling period, the estimated longevity was 12 months, and no seasonal oscillation in growth was evidenced. The continuous reproduction, as evidenced by the presence of larval phases (manca II and neutron) and reproductive females throughout the year, and high fecundity among the tanaids associated with fast growth and limited longevity support the case for the opportunistic life strategy suggested for this species in the literature.

Analysis of Variance↗

Parasitoids of Tuta absoluta (Meyrick, 1917) (Lepidoptera: Gelechiidae) collected on tomato plants in lavras, State of Minas Gerais, Brazil.

The objective of this paper was to report on the occurrence of parasitoids of Tuta absoluta Meyrick (Lepidoptera: Gelechiidae) on tomato plants, under greenhouse conditions, in Lavras County (21 degrees 14'43"S; 44 degrees 59'59"W), State of Minas Gerais, Brazil, from August 2001 to February 2002. Three groups of parasitoids were collected: 21 specimens of Bracon sp. (Braconidae), one specimen of Earinus sp. (Braconidae), and 13 specimens of Conura sp. (Chalcididae). The rate of parasitism for the three species was 4.2%, 0.2%, and 2.6%, respectively. This is the first reported occurrence of Earinus sp. parasitizing Tuta absoluta in Brazil.

Animals↗

Reproduction of species of the genus Cichla in a reservoir in southeastern Brazil.

The reproduction of two species of Cichla (Cichla cf. ocellaris and C. monoculus, commonly known in Brazil as tucunaré) introduced in the Volta Grande Reservoir, southeastern Brazil, was analyzed. The period for spawning began at the end of the dry season (September) and extended until the end of the rainy season (January). The length of the first gonad maturation (L50) and the length at which all fish are considered adults (L100) were very similar for both species and coincide with the length of fish at one year of age. The analysis of disassociated oocytes evidenced a partitioned spawning, and that C. monoculus was more prolific than C. cf. ocellaris. The low fecundity, partitioned spawning, bi-parental brood care, and supplying of food for the young are related to the way of life, habitat, and reproductive behavior of these fish.

Animals↗

Diversity of Calliphoridae (Diptera) in Brazil's Tinguá Biological Reserve.

The Calliphoridae are flies of great ecological, medical and sanitary importance because they are decomposers of organic matter, mechanical vectors of pathogenic agents, and causers of myiasis. This paper attempts to ascertain the diversity of Calliphoridae in the Tinguá Biological Reserve and correlate meteorological data (temperature, relative humidity of the air, and precipitation) with the occurrence of these flies. The study was conducted at a site in the Tinguá Biological Reserve, located in the municipality of Nova Iguaçu, state of Rio de Janeiro, Brazil. Four traps were set up using chicken viscera as bait. The experiment was conducted over the period of May 2001 to April 2002, with two monthly collections. The captured flies were killed with ether and conserved in 70% alcohol and identified in the Laboratory of Diptera Studies (UNIRIO) and the Laboratory of Vector Insect Biology and Control (FIOCRUZ), both headquartered in the city of Rio de Janeiro, RJ, Brazil. A total of 1,987 insects were captured, 37.5% belonging to the family Calliphoridae, 29.4% to Muscidae, 16.0% to Sarcophagidae, and 17.1% to other families. The most representative species found was Phaenicia eximia (47.0%), followed by Hemilucilia semidiaphana (23.6%), Mesembrinella bellardiana (13.7%), Hemilucilia segmentaria (7.5%), Chloroprocta idioidea (4.9%), Chrysomya albiceps (1.2%), Chrysomya megacephala (0.9%), Phaenicia sericata (0.6%), Eumesembrinella sp. (0.5%), and Chrysomya putoria (0.1%). Large numbers of Calliphoridae were noted in May, June, September and January, coinciding with low rainfall and an average temperature of 21.8 to 27.0 degrees C. A negative correlation was found between the number of Calliphoridae captured and meteorological factors.

Animals↗

Mercury contents in aquatic macrophytes from two reservoirs in the Paraíba do Sul: Guandú river system, SE Brazil.

This paper reports on a study to determine the Hg content in the five most abundant aquatic macrophyte species (Elodea densa, Sagittaria montevidensis, Salvinia auriculata, Pistia stratiotes and Eichhornia crassipes) in two artificial reservoirs flooded by water diverted from the Paraíba do Sul river, SE Brazil. The potential of these species for Hg accumulation and their role in Hg transport along the river system due to macrophyte management were evaluated. Mercury concentrations were higher in free-floating than in rooted species. Roots were also richer in Hg than were leaves. Dry weight Hg concentrations in leaves and roots from all species varied from 46-246 ng.g(-1) to 37-314 ng.g(-1), respectively. These values are higher than those reported for uncontaminated lakes in Brazil and in other tropical areas and similar to those reported for moderately contaminated sites. Mercury concentrations can be attributed to fluvial transport from the heavily industrialized Paraíba do Sul river basin. Intensive sampling of Pistia stratiotes from two sites in the Vigário reservoir was performed to evaluate the capacity of Hg incorporation in short periods of time. The results showed a significant negative correlation between Hg content and size class of individual plants, demonstrating the importance of juveniles, fast growing plants in absorbing Hg. The foremost impact related to Hg contents in the studied area concerns the periodic removal of macrophytes for reservoir management, followed by disposal in nearby areas. This results in the mobilization of 0.52 to 1.3 Kg of Hg per year, a significant fraction of the Hg burden present in reservoir waters. Disposal of such material may result in Hg leaching to river systems, affecting the Hg transfer throughout the basin.

Brazil↗

Capybaras in an anthropogenic habitat in Southeastern Brazil.

Capybaras (Hydrochoerus hydrochaeris) are widely distributed in the Neotropics, living in both natural and anthropogenic habitats. In the present study, we monitored the fluctuating capybara population at the Campus "Luiz de Queiroz", University of São Paulo, in Piracicaba, Southeastern Brazil from 1998 to 2000. To assess population fluctuation and growth rates, we used an abundance index based on direct weekly daylight counts. Population monitoring was carried out in an anthropogenic wetland associated with an agroecosystem. The observers bias was established as directly related to their distance from the animals. The capybara population density and biomass in the anthropogenic wetland in question were found to be significantly higher than in pristine habitats. The species seems to present a seasonal pattern of fluctuation, with a peak in late spring (Oct to Dec). Unlike young capybaras, adults and juveniles present similar seasonal fluctuation patterns. In this anthropogenic wetland, the carrying capacity may be as high as 195 individuals/Km2. At a conservative exploitation rate (17%) in anthropogenic wetlands of Southeastern Brazil, capybara productivity may reach approximately 630 Kg/Km2/year.

Animals↗